Menopause Matters Forum
Menopause Discussion => All things menopause => Topic started by: jaypo on November 06, 2018, 06:38:52 PM
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Hi ladies, I read these stories of what nightmares are made,so far I've only had sweats/flushes & the anxiety,can't have hrt (breast cancer/clots in family) have I got all this depression & vaginal problems to come?or are there any of you that have got through it reasonably ok? I'm 55😫
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Hi jaypo - re HRT and breast cancer - it depends on whether the cancer was oestrogen receptive and how close the family members were? Also your own risk re clots may not be related to other family members (unless a known genetic condition) as a lot may well be down to lifestyle - body weight, smoking, diet, exercise, alcohol, blood pressure etc. You can minimise risk by controlling these as appropriate.
If you really cannot take HRT for medical reasons then there are some other prescribable medications eg certain anti-depressants you can take, some of which can work to reduce hot flushes.
Don't look for problems such as depression - heavens - that would be sure to make you anxious! Re vaginal problems - most women will probably get some vaginal problems due to atrophy at some point - even long after menopause - and you can use local oestrogen even if there is breast cancer risk. Even some women who have had breast cancer themselves can take local oestrogen ( ie vaginal oestrogen) after discussion with their doctor.
Hurdity x
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Thank you,gosh,it's all very confusing 🤪
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Following because I'm in the same boat. ;)
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Hi jaypo. I didn't take HRT. I started the meno in my forties and as we were living in Japan at the time and HRT would have been difficult to get there as the Japanese ladies do not suffer like we do I knew it would be a trip to the doctor here when on an annual visit and if there were any problems I wouldn't have been able to sort them out. I suffered dreadful panic attacks for eighteen months with flushes one after the other throughout the day and many times got off the subway or left department stores because of them. Luckily the night sweats were not so bad and as we had an air conditioner in the bedroom I switched the flow on to me. For me the eighteen months were the worst with other symptoms manageable over the following four years. I am now 67 and in the U.K for the last ten years and only use Vagifem. Good luck
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Hi ladies, I read these stories of what nightmares are made,so far I've only had sweats/flushes & the anxiety,can't have hrt (breast cancer/clots in family) have I got all this depression & vaginal problems to come?or are there any of you that have got through it reasonably ok? I'm 55😫
I am the the same age as you and also haven't had HRT until very recently when I started using local vagifem due to recurrent UTI's. I haven't used systemic at all. My hot flushes were very mild and I haven't had depression either. I do have a problem with aching calves/joints and soles of feet which I think might benefit from trying HRT. I am looking into it at the moment.
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Hi jaypo. I didn't take HRT. I started the meno in my forties and as we were living in Japan at the time and HRT would have been difficult to get there as the Japanese ladies do not suffer like we do I knew it would be a trip to the doctor here when on an annual visit and if there were any problems I wouldn't have been able to sort them out. I suffered dreadful panic attacks for eighteen months with flushes one after the other throughout the day and many times got off the subway or left department stores because of them. Luckily the night sweats were not so bad and as we had an air conditioner in the bedroom I switched the flow on to me. For me the eighteen months were the worst with other symptoms manageable over the following four years. I am now 67 and in the U.K for the last ten years and only use Vagifem. Good luck
Interesting that Japanese ladies don't suffer or could it be that they are expected to put up with it and not talk about it?
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Oh thank you ladies, I really appreciate your advice,you'll never know.ive never suffered with anxiety and depression before but here it is,this morning I could barely get out of bed so I phoned dr & got a cancellation,she was so so nice & understanding,long story short,she gave me 50 mg setraline,has anyone got any experience,she said I may feel worse for a week or so but to stick with them & I WILL see a difference.
Oh & she always recommends menopause matters 😊
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Jaypo - hello - I'm on a non HRT and non AD journey. I'm 46 and have been peri for 3/4 years. Tons of symptoms. Trying to manage with diet and exercise. The anxiety I'm not managing well at all. Some days are a shocker. Like you, there is BC close in my family (sister and aunt). Hope to swap positive stories going forward!! Best remedy I have found so far is....brisk walking (I'm not joking).
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Thanks Agatha, I used to run & loved it,so exhilarating but recently had a foot op & can't do it for now & I totally agree with you that exercise has an impact & I think this may be half the battle,been scared also of exercising because of my weight loss (down to anxiety) but dr said today that I should do something so I'm going to make a concise effort to take a brisk walk every day. I hope you keep going & get through all this xx
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Thank you sparkle, I will definitely have a look at that xx
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Tai Chi - would love to do that!
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I'll do it in the garden,give the neighbours a laugh.......the tai chi I mean 😂
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I'll be ok in the garden as long as there's no wasps about,then it'll be a very speeded up version of tai chi.
Seriously though I'm definitely going to look for that on YouTube,great idea
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I actually DID lol when I read that ;D speedy tai chi how funny would that look
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Oh please do!
I look forward to seeing all the peri/menopausal women doing speedy tai chi in their backyards! ;D
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Oh that would be hilarious,I'm sure we'd make it onto the telly,all doing our speedy tai chi in between all of us having our panic attack's & tears,great tv🤣
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:rofl:
Best laugh I've had in awhile...picturing all these women doing speedy tai chi, avoiding wasps while crying and having panic attacks...oh my.... ;D ;D
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Oh gosh I know,what a vision,don't forget the sweats & screaming at each other👯♀️💃😂
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Oh thank you ladies, I really appreciate your advice,you'll never know.ive never suffered with anxiety and depression before but here it is,this morning I could barely get out of bed so I phoned dr & got a cancellation,she was so so nice & understanding,long story short,she gave me 50 mg setraline,has anyone got any experience,she said I may feel worse for a week or so but to stick with them & I WILL see a difference.
Oh & she always recommends menopause matters 😊
Did you ask for a referral re the breast cancer risk? I'm not sure that Sertraline is the best one for women who can't ake HRT due to breast cancer - due to treatment or high risk? I'm pretty sure it is Vanlaxafene or similar - maybe Paroxetine (sp?).
Hurdity x
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Crikey thanks for that hurdity,yet again gps don't tell you that,that's the exact reason I decided against hrt!!! Will phone dr tomorrow,not taking them again until I find out more.aaaaaaargh you think they would look at your notes,my mum,her sister & their mother all had breast cancer 😔
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Hi jaypo - I didn't mean that taking Sertraline was risky - (I don't know what the medical risks are for taking this or other ADs) - just that there are other anti-depressants that are supposed to be more effective for menopausal symptoms like hot flushes, for women who can't take HRT due to either having had breast cancer or being at high risk from it, (or other medical reason). In fact I think I mentioned in my earlier post that there were some ADs that were suitable and this info was in a paper (can't see my post as it's before all the Tai Chi chat and on the other page!).
I'll post the reference and the extract in the paper:
https://journals.sagepub.com/doi/full/10.1177/2053369117711646?hootPostID=6690d93930a10b86869c48433ab506e7
"Historically, selective serotonin re-uptake inhibitors (SSRI) and SNRIs are recognised and licensed for their effects on depression and anxiety, but for the purposes of this review, we are considering the unlicensed use and effect on vasomotor symptoms.5 NICE guidance is that SSRIs are not offered first line for vasomotor symptoms unless HRT is contraindicated.
In the USA, FDA approval was granted in 2015 for paroxetine for menopausal hot flushes.26 Most studies compare SSRI or SSRI/SNRI with that of placebo and some with clonidine or gabapentin but not with each other. Overall, studies demonstrate that venlafaxine 37.5 mg titrated up to 150 mg per day, paroxetine 10 mg daily or citalopram 10 mg–30 mg are the most effective. Paroxetine has the best evidence and at 10 mg is as effective as at higher doses and associated therefore with a lower incidence of side effects. Fluoxetine has evidence of efficacy and lower incidence of side effects. Sertraline seems least effective and escitalopram improves flushes and has significant benefits and improvement in well-being but some side effects. Many recent studies are with venlafaxine which consistently seems effective."
Note it says here that Sertraline seems least effective (for hot flushes). However if your doc has prescribed it and you are happy to take it then do give it a try - it may work on some symptoms. However in view of your close relatives who have had the disease, it is also important that you have a referral to a specialist to discuss your breast cancer risk anyway, and then you can also discuss HRT at the asame time
Hope this clarifies what I was saying.
Hurdity x
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Thank you hurdity, I really really appreciate you sending that to me,god I'm a wreck at the moment,don't know where the old me has gone but I wish she'd come back,she wasn't all that bad,I read the words “breast cancer “ & go running screaming to the hills. Thank you xxx